Enrollment Form

Learner Eligibility Minimums (additional requirements may be necessary for specific courses)

Carefully review and confirm/update the responses to the questions below. 
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Thank you for your interest. 

Based on your responses for the previous page, you do not meet one or all of the following minimum learner eligibility requirements to enroll in a Per Scholas course:
  1. At least 18 years of age. 
  2. Attained at least a HS diploma/equivalent or higher.
  3. Authorized to work in the U.S. 
If your situation changes, please resubmit a form. Best of luck on your future endeavors!

Please use this resource if unsure of your county or county equivalent: https://www.whatcountyamiin.com/

You must be at least 18 years of age to submit this form.

Click for more information about gender identity and pronouns.

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Please note, campus selection is not guaranteed. It is at the discretion of the Admissions team as some campuses have geographic restrictions.

Standard data and message rates apply. You may stop texts at any time by replying STOP and your consent will not impact your eligibility.

Employment Experience

Employment Details Please complete the following for your current job, or if you are not currently working, your most recent job. 

Career Readiness

Tech Access

Use this guide to find out: https://www.wikihow.com/Check-Computer-RAM

Use free speed test services to find out: Speedtest.net, Fast.com or CloudFlare

Household & Financial Information


1 Child 2 or More Children N/A

Combined incomes of all people in your household or place of residence that includes all forms of income; e.g., salaries and wages, retirement income, near cash government transfers like food stamps, and investment gains. This data is used to calculate our org-wide average learner household income and shared with our philanthropic supporters, allowing us to continue to provide no-cost training.
Financial Support

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Additional Information